Strengthening hospital infrastructure in a war context

The case of the Mopti regional hospital

Dados Bibliográficos

ID19534745
AutoresFanny Chabrol (0000-0002-3256-3217, Inserm, autor correspondente), Pierre Coulibaly, Abdourahmane Coulibaly (0000-0002-2224-3615, University of Bamako, autor correspondente)
Ano2025
Volume21
Fascículo1
Páginas55-55
Data de publicação2025-10-02
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobalization and Health (JOURNAL)
Identificadores do periódicoISSN: 1744-8603 • E-ISSN: 1744-8603
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s12992-025-01149-w
PMID41039601
OpenAlexW4414755686
IdiomaEN
Referências citadas24

In sub-Saharan Africa, public hospitals should play a key role in providing quality, affordable health care and contribute to robust health systems, particularly in war-torn contexts. In Mali, a multidimensional crisis has had a severe impact on the health of the people and on the overall health infrastructure and its capacity to respond to the crisis. Public hospitals suffer from multiple long-standing constraints that are rendered even more acute in the context of war. This paper presents governmental, development, and humanitarian efforts and interventions aimed at strengthening hospital infrastructure in Mopti, central Mali. Three key dimensions of hospital infrastructure are fundamental to ongoing operations: human resources, governance, and equipment/maintenance. The results revealed two approaches to strengthening hospital infrastructure: a developmental approach, aimed at constructing new buildings and implementing hospital autonomy-oriented reforms, and a pragmatic approach that focuses more on concrete solutions to the most urgent needs. The insights presented here argue for stronger linkages between these two approaches to reinforce the everyday functionality of health care infrastructures in destabilized contexts. Hospitals such as the Mopti hospital in Northern Mali endure severe challenges in a war context: general decline in health indicators, war injuries, and material and human resources are acute constraints. Two approaches to strengthening hospital infrastructure in the Mopti region can be identified. A developmental prioritizing construction and structural reform and a pragmatic and humanitarian approach, attending to most urgent medical and surgical needs. International mechanisms should be put in place to protect and support health infrastructures during conflicts

Health administration · Health care · Health services research · Hospital care · Psychological intervention · Public health · Public hospital · Global Maternal and Child Health · Health and Conflict Studies · Health Services Management and Policy · Health Policy